Cultivate Wellness LLC
Organization Active NPI Clinical Social Worker · Moab, UT
NPI 1437985694 · NPPES record last updated Dec 29, 2025
Key facts
- NPI
- 1437985694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CULTIVATE WELLNESS LLC
- Practice address
- 125 W 200 S Ste 107
Moab, UT 84532-2534 - Phone
- (970) 708-8190
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
Authorized official
- Name
- Mesa Owen, LCSW
- Title
- Owner
- Phone
- (970) 708-8190
Practitioners 1
-
Mesa Owen, LCSW
National Provider Directory
Locations
125 W 200 S
Ste 107
Moab, UT 84532
Phone (970) 708-8190
125 W 200 S
Moab, UT 84532
Phone (435) 260-1302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
125 W 200 S Ste 107
Moab, UT 84532-2534
Mailing address
125 W 200 S
Moab, UT 84532-2534
Phone (970) 708-8190
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.